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NPI Code Detail

MEDICARE: STEPHEN E GRABLE MD

MEDICARE:   STEPHEN E GRABLE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME56718FL

General Provider Information

NPI Number : 1003837659
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN E GRABLE MD
Provider Business Mailing Address
First Line : 1504 ROBERTS DRIVE
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250
Country : US
Telephone Number : 904-247-7455
Fax Number : 904-247-8550
Provider Business Practice Location Address
First Line : 1504 ROBERTS DRIVE
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250
Country : US
Telephone Number : 904-247-7455
Fax Number : 904-247-8550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHEN E GRABLE MD” Practice Location

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